In a 35-year-old woman with maturity-onset diabetes of the young-12 (MODY12; 621196) who had severe microvascular diabetic complications, Timmers et al. (2021) identified heterozygosity for a c.3544C-T transition (c.3544C-T, NM_000352.6) in the ABCC8 gene that resulted in an arg1182-to-trp (R1182W) substitution. The mutation was present in 1/152,080 alleles in the gnomAD (v3.1) database. The mutation was subsequently identified in her mother, older daughter, and son. Her mother had diabetes which required only oral agents, and neither of her children had had neonatal diabetes. Timmers et al. (2021) noted that 2 transcripts for the ABCC8 gene differing in length by 1 amino acid arise by alternative splicing at exon 17; thus, residue R1182 may be referred to as R1183 according to another reference sequence.
Timmers et al. (2021) identified 10 reports in the literature that included individuals with the R1182W mutation, with phenotypes of transient neonatal diabetes mellitus (TNDM2; 610374), permanent neonatal diabetes permanent neonatal diabetes mellitus (PNDM3; 618857), and MODY. Patients were responsive to sulfonylurea.